JEREMY R RADKE LMT
NPI 1306695077
Massage Therapist in Salem, OR

Active since May 15, 2024
3523 FAIRVIEW INDUSTRIAL DR SE, SALEM, OR 97302(971) 453-0800 Get Directions Write a Review

NPPES record last updated: June 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 22, 2025, May 15, 2024 (2 updates tracked since 2024).

About Jeremy R Radke Lmt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEREMY R RADKE LMT (NPI 1306695077) is an individual massage therapist in Salem, Oregon, licensed in Oregon (28270) and active in the NPI registry since May 2024.

NPPES Registry Identity

NPI1306695077
Entity TypeIndividualMale
Primary Taxonomy225700000X
Provider Legal NameJEREMY R RADKECredential: LMT
Location Address3523 FAIRVIEW INDUSTRIAL DR SESalem, OR 97302-1155
Mailing Address154 Se Foundation DrDallas, OR 97338-9787 · (971) 240-8484
Sole ProprietorNo
Enumeration DateMay 15, 2024
Last NPPES UpdateJune 22, 20252 updates tracked since enumeration
NPPES CertifiedJune 22, 2025
NPI 1306695077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225700000X
License Licensed in OR · 28270
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
3523 FAIRVIEW INDUSTRIAL DR SE, Salem, OR 97302

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jeremy Radke's NPI number?

The NPI number for Jeremy Radke is 1306695077. It was assigned to this individual provider in the NPPES registry on May 15, 2024.

Where is Jeremy Radke located?

Jeremy Radke practices at 3523 Fairview Industrial Dr SE, Salem, OR 97302. The listed phone number is (971) 453-0800.

What is Jeremy Radke's specialty?

The primary specialty registered for this NPI is Massage Therapist with taxonomy code 225700000X.

When was this NPI record last updated?

The NPPES record for Jeremy Radke was last updated on June 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.